FORM 1023-EZ for REFUSE TO SINK -- LIFELINE FOR THEUNDIAGNOSED

Field Data
EIN 82-1469337
Case Number EO-2017181-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REFUSE TO SINK -- LIFELINE FOR THEUNDIAGNOSED
Organization’s Mailing Address 648 OSBORNE LANE
City TALLASSEE
State AL
ZIP 36078
Accounting period End 12
Primary contact name LINDA SHAW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA SHAW
PRESIDENT
648 OSBORNE LANE
TALLASSEE AL 36078

Officer/Director/Trustee Two

TARA WOODFIN
SECRETARY/TREASURER
648 OSBORNE LANE
TALLASSEE AL 36078

Officer/Director/Trustee Three

KIM MCLEOD
DIRECTOR
648 OSBORNE LANE
TALLASSEE AL 36078

Officer/Director/Trustee Four

RICKY BAKER
DIRECTOR
648 OSBORNE LANE
TALLASSEE AL 36078

Officer/Director/Trustee Five

CHELSEA TUCKER
DIRECTOR
648 OSBORNE LANE
TALLASSEE AL 36078

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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